Optimizing the Value of EMR systems in Low-Income Countries using Economic Models
Citizens of Low-income countries (LIC), defined as countries with a GDP per capita of less than $1,035, represent 63% of the world’s population. Collectively, there are fewer than 6,700 hospitals spanning all 36 countries (est. 5,000 hospitals in US). The adoption of inter-operable electronic medical record (EMR) systems spanning services across the hospital setting is almost non-existent. The gap in knowledge around the costs to acquire, deploy and maintain EMR systems, as well as lack of evidence of benefits in a LIC hospital setting presents significant barrier to EMR adoption. High acquisition costs, cited as a major barrier to EMR adoption in the US, are even more pronounced in LIC setting where spending on healthcare is at its lowest globally ($65 / person/ year in Malawi). This presentation will describe a proposed methodology to reduce these barriers for LIC hospitals using an approach that maximizes economic value of the EMR through savings generated by the system.